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<?xml-stylesheet type="text/xsl" href="http://community.advanceweb.com/utility/FeedStylesheets/rss.xsl" media="screen"?><rss version="2.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:slash="http://purl.org/rss/1.0/modules/slash/" xmlns:wfw="http://wellformedweb.org/CommentAPI/"><channel><title>HIT Insider: Forums</title><link>http://community.advanceweb.com/forums/48/ShowForum.aspx</link><description /><dc:language>en</dc:language><generator>CommunityServer 2.1 SP2 (Debug Build: 61120.2)</generator><item><title>Re: Nurses and Drowsy Driving</title><link>http://community.advanceweb.com/forums/thread/28828.aspx</link><pubDate>Mon, 28 Apr 2008 04:01:12 GMT</pubDate><guid isPermaLink="false">06d5312c-37b9-406e-be84-460d8d21f4fc:28828</guid><dc:creator>Heather McNally</dc:creator><slash:comments>0</slash:comments><comments>http://community.advanceweb.com/forums/thread/28828.aspx</comments><wfw:commentRss>http://community.advanceweb.com/forums/commentrss.aspx?SectionID=48&amp;PostID=28828</wfw:commentRss><description>&lt;P&gt;drive with window's open some&lt;/P&gt;
&lt;P&gt;audio book &lt;/P&gt;
&lt;P&gt;move close to work&lt;/P&gt;
&lt;P&gt;&amp;nbsp;vary your route so you need to stay awake vs driving on autopilot&lt;/P&gt;
&lt;P&gt;&amp;nbsp;&lt;/P&gt;
&lt;P&gt;can you tell i've been in a crash, driving and falling asleep, and crossing the center line hitting a car head on, and ending up with a fx femur, 8 broken ribs 4 on each side, fx elbow, dislocated big toe. &lt;/P&gt;
&lt;P&gt;icu for a week, deep suctioning &lt;/P&gt;
&lt;P&gt;skeletal tx for 4 weeks&lt;/P&gt;
&lt;P&gt;12 screw compression plate in left femur, &lt;/P&gt;
&lt;P&gt;crutches non wt bearing for 3 mths, partial for 3 mths, 1 crutch for 3 mths, then eventually work on walking on 2 legs..... &lt;/P&gt;
&lt;P&gt;out of work for 18 mths..... &lt;/P&gt;</description></item><item><title>Re: Nurses and Drowsy Driving</title><link>http://community.advanceweb.com/forums/thread/28582.aspx</link><pubDate>Wed, 16 Apr 2008 18:49:46 GMT</pubDate><guid isPermaLink="false">06d5312c-37b9-406e-be84-460d8d21f4fc:28582</guid><dc:creator>Blueheaven</dc:creator><slash:comments>0</slash:comments><comments>http://community.advanceweb.com/forums/thread/28582.aspx</comments><wfw:commentRss>http://community.advanceweb.com/forums/commentrss.aspx?SectionID=48&amp;PostID=28582</wfw:commentRss><description>&lt;P&gt;I'd love to never have to drive drowsy again; it is no fun task... however it seems to be a part of nursing that we all tend to deal with.&lt;/P&gt;
&lt;P&gt;&lt;STRONG&gt;&lt;EM&gt;Get enough sleep&lt;/EM&gt;.&lt;/STRONG&gt;&amp;nbsp;For most nurses this is no easy task; working different shifts; family obligations, too much caffeine and messed up sleep cycle from all of the above make getting&amp;nbsp;any&amp;nbsp;sleep a daunting task. And lets not forget all the 'did I remember to do this' thinking you do as you try to drift off...&lt;/P&gt;
&lt;P&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; • &lt;EM&gt;&lt;STRONG&gt;Take breaks while driving&lt;/STRONG&gt;&lt;/EM&gt;.&amp;nbsp;Impossible for most; either we'll fall asleep and miss picking the kids up or taking them to school, or we'll have a cop come tap at the window who'll accuse us of having been drinking and driving...&lt;/P&gt;
&lt;P&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; •&lt;STRONG&gt; &lt;EM&gt;Consume caffeine&lt;/EM&gt;&lt;/STRONG&gt;.&amp;nbsp;We've probably already had 2 pots of coffee on our shift... if we drink anymore, we'll never sleep! See # 1&lt;/P&gt;
&lt;P&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; • &lt;EM&gt;&lt;STRONG&gt;Do not drink alcohol&lt;/STRONG&gt;&lt;/EM&gt;.&amp;nbsp;Nurses don't drink on the job (although it might improve our humor and friendliness on those long shifts!)&lt;/P&gt;
&lt;P&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; •&lt;STRONG&gt; &lt;/STRONG&gt;&lt;EM&gt;&lt;STRONG&gt;Do not drive late at&lt;/STRONG&gt; &lt;STRONG&gt;night&lt;/STRONG&gt;&lt;/EM&gt;&lt;STRONG&gt;.&lt;/STRONG&gt; Huh? How am I going to get home after my 3-11 shift that I'm leaving from at 1am after finishing all the paperwork I didn't have time to do because we were short staffed? And lets not forget those night nurses... I remember the days of windows down, music up and biting my lip just to stay awake on the drive home...&lt;/P&gt;
&lt;P&gt;I guess it's a tough job, and somebody has to do it!&lt;/P&gt;
&lt;P&gt;I say that the healthcare industry gets an overhaul... it's long overdue that nurses were compensated properly for the difficult job that they do.&lt;/P&gt;
&lt;P&gt;Instead, we continue to see staff cuts, and the hospitals bellies getting bigger and bigger. When I entered the nursing field in 1996, there was no shortage, yet they still worked us understaffed....&lt;/P&gt;
&lt;P&gt;If we had better pay for what we do, there would be more people getting into the profession. Why would anyone enter a profession where you are overworked, underpaid and have people's lives in your hands and don't even get paid as much as a plumber?&lt;/P&gt;
&lt;P&gt;&amp;nbsp;Beats me... &lt;/P&gt;
&lt;P&gt;&amp;nbsp;&lt;/P&gt;</description></item><item><title>Nurses and Drowsy Driving</title><link>http://community.advanceweb.com/forums/thread/28457.aspx</link><pubDate>Thu, 10 Apr 2008 21:59:41 GMT</pubDate><guid isPermaLink="false">06d5312c-37b9-406e-be84-460d8d21f4fc:28457</guid><dc:creator>Frank Irving</dc:creator><slash:comments>0</slash:comments><comments>http://community.advanceweb.com/forums/thread/28457.aspx</comments><wfw:commentRss>http://community.advanceweb.com/forums/commentrss.aspx?SectionID=48&amp;PostID=28457</wfw:commentRss><description>&lt;P&gt;The HIT Insider Blog entry "&lt;A class="" href="http://community.advanceweb.com/blogs/hx_1/archive/2008/04/10/fatigued-rns-worry-about-drowsy-driving.aspx"&gt;Fatigued RNs Worry About Drowsy Driving&lt;/A&gt;" asked what nurses can do to avoid drowsy driving. The American Academy of Sleep Medicine (AASM) has a few tips, although some may be difficult or impossible to follow given individual circumstances:&lt;BR&gt;&lt;BR&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; • &lt;EM&gt;Get enough sleep&lt;/EM&gt;. AASM recommends that adults get seven-to-eight hours of sleep each night in order to maintain&amp;nbsp;good health and optimum performance.&lt;BR&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; • &lt;EM&gt;Take breaks while driving&lt;/EM&gt;. If you become drowsy while driving, pull off to a rest area and take a short nap, preferably 15-20&amp;nbsp;minutes in length. &lt;BR&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; • &lt;EM&gt;Consume caffeine&lt;/EM&gt;.&amp;nbsp;Caffeine improves alertness in people who are fatigued. &lt;BR&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; • &lt;EM&gt;Do not drink alcohol&lt;/EM&gt;. Alcohol can further impair a person's ability to stay awake and make good decisions. Taking the&amp;nbsp;wheel after having just one glass of alcohol can affect your level of fatigue while driving. &lt;BR&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; • &lt;EM&gt;Do not drive late at night&lt;/EM&gt;. Avoid driving after midnight, which is a natural period of sleepiness. &lt;BR&gt;&lt;/P&gt;
&lt;P&gt;What other practical solutions should be added to the list?&lt;/P&gt;</description></item></channel></rss>